Provider Demographics
NPI:1518528975
Name:TRIGG, ANNA GRACE (BCBA)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:GRACE
Last Name:TRIGG
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1659 N WHISTLING STRAITS AVE APT 205
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-6666
Mailing Address - Country:US
Mailing Address - Phone:501-680-9101
Mailing Address - Fax:
Practice Address - Street 1:2601 N WALTON BLVD
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4302
Practice Address - Country:US
Practice Address - Phone:479-802-4798
Practice Address - Fax:479-668-0589
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst